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HomeMy WebLinkAbout10-15-08~~-'s°°EX'`~°°' COMMONWEALTH OF REV 1500 OFFICIAL USE ONLY PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 ~ D~a HARRISBURG, PA 17128-0601 RESIDENT DECEDENT BER - 8 - - N ~ oo - °- UM Y~ Nr E DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z ARMOLT RICHARD E. L1J ~ DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-OD-Year) THIS RETURN k1UST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS V 08/18/2008 09/23/1928 lJJ (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 0 F ©1.Original Retum ~ 2. Supplemental Retum ~ 3. Remainder Retum (dateofdeath priorta 12.13.82) ~ a x ~ 4. Limited Estate ~ 4a. Future Interest Compromise (dace ordeath aver ~z-~z-s21 ~ 5. Federal Estate Tax Retum Required v ~ a m ©6. Decedent Died Testate (AUach copy a wml ~ 7. Decedent Maintained a Living Trust {auacn copy orTrusty _ B. Tots{ Number of Safe Deposit Boxes a a ~ 9. Litigation Proceeds Received ~ 10. Spousal PoveRy Credit (date of death between rz-31-s~ and t-~-ssl 11. Election to tax under Sec. 9113(A) (Alrach Scn of THIS SECTiQN MUST BE: CQMPI*I=7'ED.~ALL GQRRESRONDENCE: AND CQNFIDE;NTIAL TAX INFORMATICENSHOULD BE-.DIRECTED 70: F w NAME COMPLETE MAILING ADDR ESS °z ROGER B. IRWIN ESQUIRE ~ 60 WEST POMFRET STREET y FIRM NAME (If Appicable) ~ IRWIN & McKNIGHT • p TELEPHONE NUMBER 717 249-2353 CARLISLE PA 17013 ~ O~IAL USE ONLY O 1. Real Estate (Schedule A) . (1) r ~ 2. Stocks and Bonds (Schedule 8) (2) ~ a - . ~ ~= - _. n . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) ~ ' r-- .- , r•t 4. Mortgages & Notes Receivable (Schedule D) (4) ~ ~ - 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (5) (Schedule E) 7 ^, ..~ = ~'J C.3 Z O 6. Jointly Owned Property (Schedule F) (6) 18,140.E _... ~ g~ ~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) H (Schedule G orL) Q 8. Total Gross Assets (total Lines 1-7) (8) 18,140.00 V ~ 9. Funeral Expenses 8 Administrative Gosts (Schedule H) (9) 12,716.58 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 810) (11) 12,716.58 12. Net Value of Estate (Line 8 minus Line 11) (12) 5,423.42 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 5,423.42 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15. Amount of Line 14 taxable at the spousal tax 0.00 X 15 ) 0.00 ~ ( rate, or Vansfers under Sec. 9116 (a)(1.2) f- Fa.. 16. Amount of Line 14 taxable at Pineal rate 5,423.42 X .045 (16) 244.05 ~ 4. 0.00 0.00 17. Amount of Line 14 taxable at sibling rate X • 12 (17) ~ 18. Amount of Line 14 taxable at collateral rate 0.00 X .15 (18 ) 0.00 V 19. Tax Due (1g) 244.05 > > BE SURE TO ANSWERALL QUES710NS ON REVERSE'S1l~E AHD RECHECK MATH < < V'n Decedent's Comalete Address: srREETADDRESS 1559 NEWVILLE ROAD CITY STATE ZIP CARLISLE PA 17013 Tax Payments and Credits: ~ Tax Due (Page 1 Line 19) Z. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 12.20 3. InteresUPenalty if applicable D. Interest E. Penalty (1) 244.05 Total Credits (A + B + C) (2) 12.20 Total InteresUPenalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 0.00 (5) 231.85 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 +SA. This is the BALANCE DUE. (5B) 231.85 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : ........................................................................... ^ b. retain the right to designate who shall use the property transferred or its income : ........................................ ^ Q c. retain a reversionary interest; or ...................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ............................................................. ^ 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................... ^ 0 3. Did decedent own an 'intrust for' or payable upon death bank account or security at his or her death? ................. ^ Q 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of prep other than the personal re enta6ve is bas on all information of which preparer has any knowledge. SIGNATURE PERSON R ONSIB FOR IN ETURN DATE ADDRESS ~(0 MEADOW DRIVE ~ ~ -CARLISLE PA 17015 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 60 WEST POMFRET STREET CARLISLE PA 17013 For dates of death on or after July 1,1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)). For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger a! death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% p2 P.S. §9116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (4) REV-1509 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER ~RMOLT RICHARD E. 21 08 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A. RICKY L. ARMOLT B C JOINTLY•OWNED PROPERTY: 10 MEADOW DRIVE CARLISLE, PA 17015 ADDRESS RELATIONSHIP TO DECEDENT SON ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTIGN OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET 96 OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTERESI 1. A. 11/1998. TWO TRACTS LOCATED IN UPPER FRANKFORD 36,280.00 50. 18,140.00 TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA TOTAL (Also enter on line 6, Recapitulation) I S 18 140 00 (If more space is needed, insert additional sheets of the same s¢e) REV-1511 EX + (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES ~ INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER ARMOLT RICHARD E. 21 08 Debts of decedern must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. WESTMINSTER CEMETERY -INTERMENT FEE 1,335.00 2. HOFFMAN-ROTH FUNERAL HOME 7,841.58 3. CARLISLE MEMORIAL SERVICE, INC. 1,385.00 B. ADMINISTRATIVE COSTS: ~. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2, AttomeyFees IRWIN & McKNIGHT 2,125.00 3. Family Exemption: (If decedent's address is not the same as claimants, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4• Probate Fees 5 Accountants Fees 6. Tax Return Preparer's Fees 7. REGISTER OF WILLS -FILING FEE 30.00 TOTAL (Also enter on line 9, Recapitulation) I S 6.58 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (o.nm COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER ARMOLT RICHARD E_ 21 08 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. RICKY L. ARMOLT Lineal 5,423.42 10 MEADOW DRIVE REAL ESTATE CARLISLE, PA 17015 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S (If more space is needed, insert additional sheets of the same size) PARCEL I.D. NO: THIS DEED, MADE THE L3 °~ day of November in the year one thousand nine hundred ninety-eight (1998), BETWEEN RICHARD E. A1~yIOLT, of West Pennsboro Township, Cumberland . County, Pennsylvania, hereinafter called Grantor, ., AND RICHARD E. ARMOLT and RICKY L. ARMOLT, his son, of Vet .~ `~: ' Pennsboro Township, Cumberland County, Pennsylvania, hereinafter called Grantees: ~ `' `~ ~ "' o :' .. ` (T\ WITNESSETH, that in consideration of the sum of One and no/ 100 ($1.00) Dollar, th~ ~ ~ ~. ~~. ~ ~~ receipt whereof is hereby acknowledged, the said Grantor does hereby grant and convey unto the -•~ U ~n said Grantees, their heirs and assigns, as joint tenants with the right of survivorship and not asr'y tenants in common TRACT NO. 1: ALL that certain tract of timber land situated in the Township of Upper Frankford, County of Cumberland and' State of Pennsylvania, bounded and described as follows:: BEGINNING at a stone heap at corner of lands now or formerly of Pazk Smith; thence by the land row or formerly of Homer J. Armolt, North 6~ 1/2 degrees East 34 8/10 perches to a post; thence by land now or formerly of William Thumma and Derr, South 33 1/4 degrees East 19 perches to stones; thence by lands now or formerly of George Griffie, South 52 1/2 degrees West 46 perches to a post; thence by land now or formerly of Pazk Smith, North 9 1/2 degrees West 27 2/10 perches to the Place of BEGINNING. CONTAINING 5 acres and 85 perches. BEING the same property which Homer J. Armolt, granted and conveyed to Richard E. Armolt, Grantor herein, by deed dated April 30, 1987 and recorded in the Office of the Recorder of Deeds for Cumberland County in Deed Book "Q", Volume 32, Page 289. TRACT N0.2: ALL that certain tract of mountain land situated in Upper Frankford Township, Cumberland County, Pennsylvania, bounded and described as follows: ON the South by lands now or formerly of George Griffie, on the West by land now or formerly of Samuel Armolt; on the North by land now or formerly of Wm. Thumma and on the East by lands now or formerly of George Griffie. CONTAINING 5 acres, 85 perches, more or less. BEING the same property which William J. Thompson and Betty J. Thompson, husband and wife, granted and conveyed to Richard E. Armolt, Grantor herein, by deed dated February 8, 1996 and recorded in the Office aforesaid in Deed Book 134, page 961. Tract No. 1 is subject to aright-of--way for ingress, egress and regress in favor of the owner of Tract No. 2 as the same now appears on the ground and as recorded in the Right-Of- Way and Easement Agreement, dated November 24, 1997 and recorded in the Office aforesaid in Miscellaneous Docket Book 5~ S' ,Page 3~ ~ Grantor hereby certifies that no proceedings involving divorce are now contemplated or pending in any jurisdiction. This conveyance is anon-taxable Transfer from father to father and son. AND the said Grantor hereby covenants and agrees that he will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said Grantor have hereunto set his hand and seal the day, month and year first above written. Signed Sealed and Delivered in the presence of RICHA E. ARMOLT ~. aoox x.89 ~ac~ 798 2 TaxDB Result Details Page 1 of 1 Detailed Results for Parcel 43-04-0389-018. in the 2004 Tax Assessment Database DistrictNo 43 Parcel ID 43-04-0389-018. MapSuffia HouseNo Direction Street ENOLA ROAD Ownerl ARMOLT, RICHARD E & RICKY L C/O PropType V PropDesc LivAres CurLandVal 0480 ~) CurlmpVal 0 CurTotVal 700 CurPretVal 700 Acreage 5.51 C1GrnStat Y TaaEa 1 SaleAmt 1 SaleMo 11 SaleDa 23 SaleCe 19 SaleYr 98 DeedBlcPage 00189-00797 YearBlt HF_File_Date HF_Approval_Status httn://taxdb.ccaa.nebdetails.asn?id=43-04-0389-018.&dbselect=l 8/26/2008 TaxDB Result Details Detailed Results f or Parce143-04-0389-033. in t DistrictNo 43 Parcel ID 43-04-0389-033. MapSuffia HouseNo Direction Street NORTH MOUNTAIN ROAD Ownerl ARMOLT, RICHARD E & RICKY L C/O PropType V PropDesc LivArea CurLandVal r" 15800 CurImpVal 0 CurTotVal 520 CurPretVal 520 Acreage 5.50 C1GrnStat Y TazEa 1 SaleAmt 0 SaleMo 11 SaleDa 23 SaleCe 19 SaleYr 98 DeedBlcPage 00189-00797 YearBlt HF File Date HF_Approval_Status Page 1 of 1 he 2004 Tax Assessment Database http://taxdb.ccpa.net/details.asp?id=43-04-0389-033.&dbselect=l 8/26/2008 4281 5900 O1't5 966' ~r ~' ~.~ /Il ~ RICKT L ARMO LT ~ / j rr.~a. =,.~ ,w ~_~__. 1927~P1952956992 ~®dt' WEST? I n15TEk CEMETERY ,, ,.. CARL i ~i.E PA 6G11u133~J~A546 . s.zx nna ~. ~. s ~ ..~, .W~:~. .~~~ _: SIGN HERE x ' nb r,O.r r,r N ti rbrn .. rarer ~a ^gOa11~~ 1 b pry MAN K err wMi wr aOrr tlir ~ M ~P~r O~q ~b u~ d ~ Ord. .K NOJUC. NO. STATE I REWDEp1'~CLEII 523291't TAX GU5TOMER: RETAIN THIS COPY FOR YOUR RECORDS 1 i •i. + "tY~Y ~ °. A ..~ F J~ -F ~~ ~r 1 v y _ ~ ~ +~~. 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NO. .,~,~ v Funeral Services ' ~.Md..ed• - Name o/Deceased ^ CHECK k ~~ _ ~~ ~CARD~ ` Funeral Home 8c Crematory, Inc. ^ OTHER '~ -. ~ ~~ LAST BALANCE $ ~ ~ '~Q ^ INTEREST vv ^ LATE PAYMENT SHAflf~E SUB TOTAL CREDITS LESS PAYMENT ~ ~' ~ NEW BALANCE $ .~ ~ - 12874 HOFFMAN-ROTH F 219 N HANOVER ST CARLISLE PA 17013-2424 717-243-4511 Ter^ ID: 72706010 Ref u: 0001 Sale ~~~aa~~~e~~~9664 VISR Entrv Method: Sriaed 1ota1: S 7841.58 09i08i08 11; 24:55 Inv ~; 000001 Rapr Code: 645530 Batcha: 000014 tip Code: Custoser Covr THANK YOU! PLEASE COME AGAIN Hoffman-Roth Funeral Home & Crematory, Inc. 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 September 4, 2008 Ruth F. Armolt 1559 Newville Road Carlisle, PA 17015 The Funeral Service for Richard Elmer Armolt 15402-184 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. OUR SERVICE: Traditional Funeral Service Package $4150.00 FUNERALtiOME SERVICE CHARGES $4150.00 SELECTED MERCHANDISE: Monarch Casket , $1970.00 Monticello Interment Receptacle $1320.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $7440.00 Cash Advances Newspaper Obituary Notice- Sentinel , _ $106.58 Clergy Offering _ $100.00 Certified Copies of Death Certificates , $36.OU Flowers_ _ _ _ _ _ _ _ _ $159.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $401.58 Total Total Cost , $7841.58 TOTAL AMOUNT DUE $7S41.SH i~ This statement is net and payable in full within 30 days of receipt. 1 l ~ c.J Please return this portion with your Remittance `~ ` ~ $ Amount Enclosed Service ID # 15402-184 Richard Elmer Armolt Hoffman-Roth Funeral Home & Crematory, Inc. 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 September 10, 2008 Ruth F. Armolt 1559 Newville Road Carlisle, PA 17015 The Funeral Service for Richard Elmer Armolt 15402-184 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. OUR SERVICE: Traditional Funeral Service Package $4150.00 FUNERAL HOME SERVICE CHARGES $4150.00 SELECTED MERCHANDISE: Monarch Casket $1970.00 Monticello Interment Receptacle $1320.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE ' THAT YOU HAVE SELECTED $7440.00 Cash Advances Newspaper Obituary Notice- Sentinel , $] 06.58 Clergy Offering $100.00 Certified Copies of Death Certificates , $36.00 Flowers, _ _ _ _ _ _ _ _ _ $159.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $401.58 Total Total Cost , $7841.58 History 09/10/2008 Ricky Anmonlt /credit pmt $-7841.58 TOTAL AMOUNT DUE $O.OO his statement is net and payable in full within 30 days of receipt. ------------------------------------------------------------------ Please return this portion with your Remittance $ Amount Enclosed Service ID # 15402-184 Richard Elmer Armolt SERVING OUR COMMUNITY- SINCE a9O7 ~. o~ :~~ ~ ° Carlisle 1Vlemorial :Service, Inc. , . -~ t.~~ ~ ~(p. ~ DESIGNERS AND BUILDERS OF ~.. n f 3 ~i ~ / ~ . v J `iil/M~~ /f'~ltlyidKlQ~d Price. .. il.. l9.. :. G~. .~d3"-''~I ,~ 3' , ~ 41 South Bedford Street ..................... . 'L+~~~~~ ' ~ / • Carlisle, PA 1.7013 ..... ............ . `Carlisle-Memorial Service, inc. Total Price .. ~ ..~..... . Carlisle, PA. Telephone .243=.5480 j p~ ~ C 'Please design end build the following memorial DATE . , . r! .~~:I. ~~?~ . -'For ..: .. :rr+L~..~L~ . ~. ~ .~~': .. _ . , -Address ~ S ~ ~ , ~ ~ . ~ tl.`'~../.'7.l.1. l,? - .. ..: . -, YMatearaC `` ~ • ~ 1 '~ qie ~ ~/ .,, r ~~la~kers _ r Q- _ ~r~e„Z.S. ~'ax - . ' .. " ~, ~Depos • . ............. ,~ ,., ..... iBatance"Due ........ ~ ~ ~ ~ ~ . . ;~'~. ~F.arnll.Y;Name ... .:..... - - - .. 'tnscnpiaon .... .. / ~ 'l ~ .^ ~ ~Q YSty}e o°f'Lexters .. ~? =Foundation to be furnished by . _ ...... ... IJJ,[-~ .. _ ... .:. . . - ..... _ 1 :,9RAatecial to be best selected monumental gradecand to be-free from imperfections and first class m every way..YVork to be fini3hed in.a workmanlike :. ~ a afanne~. ~rn. M. ... .... ,. ' " ~ ~memonal to Abe ~erecteri m ... - _ ., .. ,. .... . ,. .,Cemetery ~.,~.- _,~_ .. ~. _;. : .. -. _ ........ ,;during Khe~mortth of~ .: ~/~-~: ~ :,~ :.. ... ~. .•. - ~~ J"~ ~etnavoitlatily ,delayed by 'labor troubles .and other contingencies beyond our control-and then as soon,as possible Additional letterrng and other , ~4" ~ ~~i~n tFris~merrurriat ~rn°the-tutu re ,rs:not~included Mahe Contract Price.: , '° - , ' ;:-_ _ ~, r~" s ` ,° ~`~te~ntX rigE~t o#passession anii:removal of said stone, monument or appurtenances.shall remain-forallspurposes inCat6sfe~Memorial Service _" . '~ nilAfil~sk.i~ndhltat~ri2ls ordered~are#ul~ paid by purchaser or purchasers..Fn"consideration of the acceptance by'Carlisle Memorial Service of this :; ...nper,`~re unt~ersigFled (hereinalter•krtown as.the purchaser)agreeslo pay Carlisle Memorial Service .. .. ........`...: . :.' '~ ~ ~: { k~ s~ .~ ...,.:' ...' .k ..i ...... ... : .:...:.:... . ...'.: ...::: . , ... ; ....._:: ....:. .....'..... ,'.. .......Dottarson-or ^~~fore'the'~~th da}rfoflowingathebiiling of the work or job upon completion thereof:by"Carlisle Memorial Service said=billing to be native of completion :. t..:- ~tKrereo~f,Khis~ordensfiall`becorcre~a contract;between fhe purchaser and Carlisle Mi=_moriaLService upon acceptance thereof-ih ttte~space:below.by a ,_ . ddl IaattFwrized representative df"said Carlisle-Memorial Serufce; it"beirig understood that thisinstrumenf !Upon such acceptance;:covers all'of the -- ~~,geement`between-the purchaser and Carlislb Memorial Service and-that no agent or representative ofiCarlisle Memorial Serurce has made any. . , Statements oragreements, verbal or-written, modified or adding to the Perms and conditions herein set°forth_ ~ ;~,. , 1 ,~ isafur--they understood that upon. the acceptance of this order thg contract so made "cannot be cancelled, altered, or modrfied by the perrchaser ri:by any agent:.of :Carlisle Memorial 'Service or rn any manner except"by agreement in .writing'between.tha purchaser and Carl isle Memorial:Service, ..~., _ _ •~ azt~J;ft:is'hereby understood and agreed by ala parties involved that in:case of default by purchaser or.purchasers,+twenty-fi.ve percent of :the total . -:. - rosTgirraf~;cost of the-:work or "work and materials ordered, as Y'he case may be,.,;hall be specified .eorcect sum as liquidated darirages •which purchaser ShAtl vwe •.Carlisle °KAemorial Service; less any paymem on account made .pnor to such default, this specification Hof>damages to.be:due regardless bf ' +removal..and taking ;possession of -stone, monument or materials from :purchaser ar purchasers`6y Carlisle Memorial Service 4POn -following such ,ddfaJ. ... ~:...L.G/•(~ks4~1.. ... ... ....... ......... ..:....~ ......... ...._.... ..... _.. ..(SEAL), .....:....... .:.........~~.~..~..:.........:.... ... .......20U..~ ...:... .......::...:.. .. ..... ..........aSEAL) Carlisle Memorial Service Approval ey • ~ • ~`. ti~~ / .: .... .... ... ... (SEALI White: Office Cop angry: Custom r Copy; Pink: Salesman Copy: Gold: Office Copy ,-~ ~9~ --.~ 5 7.~